﻿
                <div class="row show-grid">
                    <?php $this->load->view('telas/breadcrumb');?>
                    <div class="span12" data-original-title="">
                        <div class="clear_both"></div>
                        <div class="col-wrapper">
                            <div class="row show-grid">
                                <!-- START LEFT-SIDE CONTACT FORM AREA -->
                                <div class="contact-form span6">
                                    <div id="result">

                                    </div>
                                    <form name="contactForm" id="validForm" method="POST" action="">
                                        <div class="control-group">
                                            <label class="control-label" for="inputName">NOME<sup>*</sup></label>
                                            <div class="controls">
                                                <?php echo form_input(array('name'=>'nome', 'id'=>'nome', 'type'=>'text','class'=>'form-control span6','placeholder'=>'Nome Completo', 'required'=>'required'), mb_strtoupper(set_value('nome')));?>
                                            </div>
                                        </div>
                                        
                                        <div class="control-group">
                                            <label class="control-label" for="inputEmail">EMAIL<sup>*</sup></label>
                                            <div class="controls">
                                                 <?php echo form_input(array('name'=>'email', 'type'=>'email','class'=>'form-control span6','placeholder'=>'Email','required'=>'required'),  set_value('email'));?>
                                             
                                            </div>
                                        </div>
                                        <div class="control-group">
                                            <label class="control-label" for="inputEmail">CIDADE<sup>*</sup></label>
                                            <div class="controls">
                                                 <?php echo form_input(array('name'=>'cidade', 'type'=>'text','class'=>'form-control span6','placeholder'=>'Cidade','required'=>'required'),  set_value('cidade'));?>
                                               
                                            </div>
                                        </div>
                                        <div class="control-group">
                                            <label class="control-label" for="inputEmail">ASSUNTO<sup>*</sup></label>
                                            <div class="controls">
                                                 <?php echo form_input(array('name'=>'assunto', 'type'=>'text','class'=>'form-control span6','placeholder'=>'Cidade','required'=>'required'),  set_value('assunto'));?>
                                               
                                            </div>
                                        </div>
                                        <div class="control-group">
                                            <label for="textarea" class="control-label ">COMENTÁRIO<sup>*</sup></label>
                                            <div class="controls">
                                             
                                                <?php
    $textarea_data = array('id' => 'comentario',
                           'name' => 'comentario',
                           'rows' => '4',
                           'cols' => '10',
                           'maxlength'=>'300',
                           'placeholder'=>'Digite uma comentário',
                           'class'=>'textarea span6',
                           //'required'=>'required' 
                       );
    echo form_textarea($textarea_data); 
?>
                                                <span class="help-inline">Please write a comment</span>
                                            </div>
                                        </div>
                                        <script type="text/javascript" src="http://www.google.com/recaptcha/api/challenge?k=6LeMXt4SAAAAABbnTq7FvelG2GANlmpl_sWvWP0b"></script>

	<noscript>
  		<iframe src="http://www.google.com/recaptcha/api/noscript?k=6LeMXt4SAAAAABbnTq7FvelG2GANlmpl_sWvWP0b" height="300" width="500" frameborder="0"></iframe><br/>
  		<textarea name="recaptcha_challenge_field" rows="3" cols="40"></textarea>
  		<input type="hidden" name="recaptcha_response_field" value="manual_challenge"/>
	</noscript>                                        <div class="control-group form-button-offset">
                                             <button type="submit" class="btn btn-success"> Enviar </button>
                                        </div>
                                    </form>
                                </div>
                                <!-- END LEFT-SIDE CONTACT FORM AREA -->

                                <!-- BEGIN RIGHT-SIDE CONTACT FORM AREA -->
                                <div class="contact-info span5 offset1 sidebar-baloon">
                                    <h2>SCIRE<br>Revista Acadêmico-científico</h2>
                                    <!-- COMPANY ADDRESS -->
                                    <address>
                                        Universidade Aberta Vida - UNAVIDA<br>
					Departamento de Biologia e Geografia - Polo NDI<br />
                                        Rua Sebastião Vieira da Silva,
                                        Nº 1282<br />
                                        Catole, Campina Grande - PB<br />
                                        CEP: 58410-407<br />
                                        Telefone: (83) 3337-7773<br />
                                     
                                    </address>
                                    <div class="address-tick"></div>
                                </div>
                            </div>
                        </div>
                    </div>
                </div>